Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $30.90 / $52.48	Facility		$10.00	$30.90	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $60.26	Professional		$8.91	$10.96	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $30.90	Professional		$16.98	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $199.53	Professional		$14.45	$18.20	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $30.20	Facility		$13.18	$16.98	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.50 / $54.95	Professional		$9.12	$19.50	$54.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.98	Professional		$15.85	$15.85	$16.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $27.54	Professional		$12.59	$14.13	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $30.20	Facility		$13.18	$13.18	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $27.54	Professional		$8.71	$13.18	$27.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18